1972, 01-21 Permit App: J1685 ResidenceCounty of Spokane,* Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner•,,,),',4/c/.
„v / / %l .d c� / /c� Address /57c-/ 1St
Architect _
Contractor 221-tet.--/✓�`.`
u���s a i n 7Z,�,
Ph
Engineer
Address / ] ..Z So
Legal Description�of Property
At , ,4 A''” e 1e Tl'A c Y� .eZ,/V
/;,r VO gni /7/, /s /y..3 6 �,
DESCRIPTION OF WORK: New 1( Addition Remodel Moving Bldg. Zone / Fire Zone
(Give complete
PhoneJvi-y C7.3'
Phone
Phone %• s Y- ;C 5'.i
description from deed, tax receipt, etc.) I /2/- f' 8
14' RA / s.c""? "/;117( 7`-r4-Fea. G 1rN <'
•'fr,stA - v S�/'n;.;44mt f� t ,.,� tr2,a_s/,„ s_ 1-/'->! -- C /
Size of Lot /2 % • 3 X 3/6. A46,4,i5 cr.' .0 t;,.s.s Sewage System -5t 7(;`c %—.<' Stories (ws+
✓fox .- C X — 3 C Total Sq.Ft. Valuation 3 7 s e; [?
Const. Fsr�1' ' : � Dimensions � -
(Frame, concrete, brick, e.) 2
Rooms i Baths r'ai St Basement AF--t-t. Foundation Const O. is C%'t' Y4 Chimney /%/.-s <A,'NyFireplace
(Full, part, none)
-L
Heat. System 4%Fe2L j c4.4 Type of Roofing 4-1 Co
Use of Bldg. / Pcb-5
(Kind) (Number)
Ext. Finish37C"''" * °';t, 7 • 'u% j Int. Wall Finish .L7,7 et, r.%/
No. of Units Bedrooms -3
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
/Z/. 3
Lac/.', f
SOUTH
I hereby certify information submitted _is
as shown.%/f
4011gr or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
/5:71A., 74a-(
�-
Your street address will be /`7 ./ / (
Sewage Permit Number Issued Building Permi
Remarks
correct and
State License No.
,2-2„3-(1/-/2.2-2-3
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permi���
m Heating PermiL�-moi
Sewage Permit
col
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
DO NOT WRITE BELOW THIS LINE
'7
The zone is
Receipt
Form 523 Bldg. Code